Carotid artery stenting to prevent stroke in a patient with bilateral extracranial internal carotid dissection and vasospasm following rupture of an intracranial aneurysm.
作者信息
Sedat J, Dib M, Szapiro J, Paquis P
机构信息
Department of Neurosurgery, Nice hospital; France.
出版信息
Interv Neuroradiol. 2003 Sep 30;9(3):305-10. doi: 10.1177/159101990300900311. Epub 2004 Oct 22.
Abstract
The stenting of carotid dissection has been described for the prevention of cerebral ischemia in patients who remain symptomatic despite therapeutic anticoagulation, in those who present contraindications for anticoagulation therapy, or who present a local or extensive stenosis, with an associated pseudoaneurysm. We here report a case associating a high clinical grade aneurysmal rupture with a bilateral extracranial carotid dissection. Because of the haemodynamic risk due to the acute bilateral stenosis-induced dissection and the occurrence of a vasospasm, the carotid dissections were treated with self-expendable stents.
摘要
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